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Clinical Psychology Residency Program

About 

The CPRP provides training in the professional skills of diagnosis, treatment, assessment, consultation, and supervision.The Madigan Army Medical Center Clinical Psychology Residency Program (CPRP) is a year-long, full-time APA-accredited post-doctoral residency program. We endorse a practitioner-scholar model of training and development. Emphasis is placed on understanding and applying scholarly findings to practice. We aim to prepare psychologists for independent practice and leadership within the military environment. The CPRP provides training in the professional skills of diagnosis, treatment, assessment, consultation, and supervision.

Training Goals and Objectives

The primary aim of the Clinical Psychology Residency Program (CPRP) is to develop autonomous general practitioner psychologists capable of managing common challenges in both military
and civilian practice while forming a professional identity as a clinical psychologist. Training focuses on mastery of traditional clinical skills in therapy, assessment, consultation, empirically-based clinical decision making, and building upon skills established during the internship year, with a specific focus on application of knowledge to leadership within a military environment and with a military population. Weekly training requirements generally total 45-50 hours per week.
 

Competencies

The CPRP provides training in the professional skills of diagnosis, treatment, assessment, consultation, and supervision.
  • Integration of science of practice
  • Ethical and legal standards
  • Individual and cultural diversity
  • Professional values, attitudes, and behaviors
  • Communication and interpersonal skills
  • Assessment
  • Intervention
  • Consultation
  • Supervision
  • Teaching/Presenting
  • Military competency

Training Activities

Residents attend weekly didactics covering topics such as advanced assessment, military briefing, leadership and professional Development, clinical informatics, 68X Training, and others. Ethics, culture and diversity, military psychology, and other areas are integrated throughout these trainings. Residents are challenged to consider ethical, cultural, diversity and military-specific considerations throughout training experiences. Residents also participate in group supervision as well as case conferences, special topics presentations, field experiences, and workshops by invited speakers.

Our program adheres to the practitioner-scholar model. Incorporating peer-reviewed research and empirically supported treatments, with an emphasis on sound clinical decision making, is essential to our training. Residents are encouraged to develop and utilize their critical thinking skills, knowledge of the scientific literature, and ability to evaluate new research findings as a basis for clinical interventions. Within the didactic series and in supervised clinical experiences are frequent opportunities to learn and apply research based methods and ideas during residency.

National Consultants:

A particular strength of the Army Clinical Psychology Residency Programs is the ability, every year, to attract psychologists and researchers of national stature to present training workshops on topics such as suicide intervention, ethics, cultural competence, MMPI-2-RF interpretation, Prolonged Exposure, Cognitive Behavioral Therapy for Insomnia, and other psychological topics.

Supervision:

Residents receive a minimum of 2.5 hours of face-to-face supervision with their primary supervisor weekly. Residents also receive 1.5 hours of weekly group supervision. As we place a premium on achieving licensure by the end of the training year, residents receive structured support for studying for the EPPP and completing requirements for licensure. Residents will also be able to select a past or present faculty member for mentorship.

Population:

Military behavioral health serves a very diverse population that includes Active Duty; Reserve and National Guard Service Members, spouses, children, retired military and their family members.

Rotations

There are 3 required rotations, comprising 7 months of the training year:

Embedded Behavioral Health (3 months): Residents are placed with local unit’s Embedded Behavioral Health (EBH) Team during this rotation. They gain extensive administrative and leadership experience, including command consultation and clinical support in an operational setting. Residents may also engage in military specific training (physical training, field training exercises, etc.).

Advanced Assessment (2 months): This rotation is designed to provide the resident exposure to a variety of assessment experiences, including military specific evaluations. During this rotation, an emphasis will be placed on improving the resident’s existing skills in psychological assessment and conducting administrative evaluations. The resident also will gain familiarization with and experience performing forensic evaluations (as appropriate based on training, experience, and availability/type of cases).

Physiological Health Intensive Outpatient Program (PHIOP) or Residential Treatment Facility (RTF) (2 months): Residents choose between these 2 experiences. Both rotations offer opportunities for double/layered supervision (i.e., resident supervises practicum students while under supervision).

PHIOP at Madigan is a group-based intensive treatment program designed to provide a complete course of empirically supported treatment for psychological trauma. Residents perform assessment and therapy, and co-facilitate group treatment. Residents assist the clinic chief with administrative and leadership tasks, PI project development, or other related tasks.  

The RTF is a time-limited, empirically supported treatment modality, inpatient substance abuse treatment facility. Residents gain experience utilizing psychological assessment to inform a treatment plan and complete treatment protocols for intensive inpatient substance abuse care.

Residents will choose 2 elective rotations to complete their training year; one major elective (3 months) and one minor elective (2 months):

Operational Psychology (3 months): The general intent of this rotation is to build on clinical and leadership skills previously developed during internship and introduce operational psychology concepts and skills primarily utilized in Special Operation Forces’ Units. Special emphasis is placed on assessment and selection, operational consultation, military bearing and confidence, leadership and professional development.

Neuropsychology (3 months): This rotation allows residents with a specific interest in learning more about neuropsychology and/or considering pursuing a career in neuropsychology to enhance their basic knowledge gained during internship. The rotation is expanded to include didactics on neuroanatomy, neuropathology, and additional neuropsychological tests to assess for a more diverse range of diseases and syndromes. Residents will have the opportunity to potentially see cases related to neurodegenerative diseases, stroke, cancer, seizure disorders, genetic conditions, and/or medical conditions that impact cognition, such as sleep apnea or chronic kidney disease.

Health Psychology (3 months): Residents will gain experience with in the health psychology, bariatric evaluation, and sleep disorders clinics. Residents will perform assessment, individual and group treatment, and provide consultation to medical healthcare providers. There are also opportunities for psychological testing and biofeedback.

Obstetrics and Gynecology (OBGYN (2 months): The OB/GYN training rotation is designed to provide the psychology resident exposure to outpatient behavioral medicine within the context of the OB/GYN clinic. It is the goal of this rotation to train the resident to be prepared to provide primary and consultative solution-focused behavioral health care to individuals within the OB/GYN (obstetrics and gynecology), REI (reproductive endocrinology and infertility), URO-GYN (urology and gynecology) and GYN-ONC (gynecology oncology) clinics. Furthermore, the resident will gain experience in serving as a member of multidisciplinary treatment teams and offering consultation to medical healthcare providers.

DHA Connected Health (2 months): This rotation provides innovative methods to promote Military Health System (MHS) patient outcomes using health technology. Residents will explore additional career paths for military psychologists by contributing to health technology development, education for MHS care teams, research, policy writing, and health promotion campaigns.

Pediatric Psychology (2 months): Residents will receive training and experience necessary to screen for achievement problems, intellectual functioning, and psychopathology in children and adolescents. They will also be afforded the opportunity to rotate through multidisciplinary clinics such as the autism spectrum disorders clinic, and the infant/toddler clinic. Additional training in pediatric neuropsychology will be given. The goal of this rotation is to prepare generalist army psychologists who have, at a minimum, a working knowledge of family systems, a working knowledge of human development, the ability to identify risk/protective factors in children and adolescents, the knowledge and skills to screen for child/adolescent behavior/adjustment problems and provide education regarding child/adolescent concerns to families and other groups, the knowledge and skills to screen intelligence and academic achievement in school-aged youth, and the ability to provide basic consultative services regarding child and family needs.

Child and Family Behavioral Health Services (2 months): Residents gain exposure to the provision of marital therapy in a military context. Residents will gain experience in conducting intakes, marital therapy follow-ups, and group therapy or marital workshop(s). Emotion Focused and Cognitive Behavioral Therapy principles are emphasized.

Commitment to Diversity and Policy of Nondiscrimination

Madigan, the Department of Behavioral Health (DBH), and CPRP emphasize the importance of respecting, seeking out, and valuing diverse perspectives and opinions. As future psychologists, residents are expected to be culturally competent and able to work with a variety of populations and individuals from a diverse range of backgrounds and our training program is committed to fostering this competency among all residents.

CPRP does not discriminate on the basis of age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, and socioeconomic status. Our program is committed to providing a learning environment for residents, faculty, and staff that is supportive and encouraging for all residents and that values individual differences and diversity factors. The Madigan Psychology Training Programs have a Diversity Committee comprised of faculty and trainees. This Committee advises the Programs to promote attention to diversity in terms of recruitment and retention of staff, faculty, and trainees; didactic training opportunities; supervision; direct service delivery opportunities; and the other educational activities that make up the Programs’ curricula.  

Didactic and experiential training activities and supervision emphasize an understanding of cultural and individual differences and diversity as it relates to the profession of clinical psychology. As such, these areas of competency are interwoven throughout the educational activities in CPRP and are evaluated on each rotation. Residents are encouraged to highlight the integration of diversity competency throughout their practice of health service psychology by discussing these considerations during their case conference presentations, didactic conversations, and during individual and group supervision.

Madigan, DBH, and CPRP fall within federal regulation prohibiting discrimination. As such, several policies apply which dictate nondiscrimination in employment. These are described below, and can be found on the Office of Personnel Management web site.
  1. AR 600-20 (Army Command Policy) - Chapter six specifically details the equal opportunity policies of the United States Army.
  2. Executive Order 11478 - Under this Executive Order, it is the policy of the federal government to provide equal opportunity employment for all persons on the principle of merit and qualifications without discrimination because of race, religion, sex, color, age, national origin, disability, marital status, political affiliation, or any other nonmerit factor.
  3. Title 5 of the U.S. Code, Sections 2301 and 2303 - These sections classify the federal government’s merit system of principals, and prohibit discriminatory personnel practices within the federal government.
It is the policy of the Government of the United States to provide equal opportunity in federal employment for all persons, to prohibit discrimination in employment because of race, color, religion, sex, national origin, handicap, or age, and to promote the full realization of equal employment opportunity through a continuing affirmative program in each executive department and agency.

Madigan Army Medical Center and Local Area Information










Located at Joint Base Lewis-McChord, Washington in the scenic Puget Sound Area, you can literally go from “sea-level to ski-level” in less than two hours. Seattle, Olympia, and Tacoma are each within an hour drive of the installation. Additionally, the cities of Portland, OR, Vancouver, BC, and Victoria, BC offer locales for convenient weekend trips. Nestled between the Puget Sound, Mount Rainier, and the Olympic Mountains, a plethora of outdoor activities on the water and in the mountains abound. The climate tends to stay moderate throughout the year, with the temperature typically falling between 30–80 degrees.

Madigan is a modern, state of the art, medical center serving more than 105,000 patients in the Puget Sound. With a staff of more than 5,200 Madigan provides primary and sub specialty medical care and services to Active Duty, Reserve, and National Guard Service Members, military retirees and families.

The Department of Behavioral Health has more than 60 experienced psychologists and many other behavioral health and support personnel. Madigan proudly houses the largest Department of Behavioral Health in the Army, with more than 180 licensed providers and nearly 300 total personnel. The Clinical Psychology Residency Program is a part of an impressive Graduate Medical Education program that conducts medical training in primary care and multiple specialty settings.

Postdoctoral Residency Admissions, Support, and Initial Placement Data


Date Program Tables were updated: 06/24/2020

Postdoctoral Program Admissions


Interested Active Duty applicants should speak with their Internship Program Director as early in the training year as possible to notify him/her of the intent to apply to Madigan's CPRP. All Active Duty applicants must submit the Post-Internship Assignment Preference Memorandum to the Psychology Consultant, Office of the Surgeon General (OTSG) no later than June 1 of that training year. Civilian applicants should contact the Madigan Residency Program Director to express interest and intent to apply. Eligible applicants are, or will become, Active Duty military psychologists that have completed an APA-accredited Clinical Psychology Internship Program and have completed all doctoral degree requirements by December 1 of the year preceding the start of the CPRP. Those requiring a Permanent Change of Station (PCS) to attend CPRP at Madigan will need the approval of the OTSG Psychology Consultant prior to applying. Particularly strong candidates demonstrate excellent academic marks, excellent organizational skills, flexibility, and are quick to adapt and learn in order to be successful in demonstrating the program’s aims and competencies.

All interested applicants must forward the following documents to the Madigan CPRP Program Director for review:

  1. Copy of current Curriculum Vitae (CV)
  2. A letter of personal interest, which at a minimum defines the applicant's motivation to participate in this program, the status of his/her dissertation, statement verifying that all doctoral degree requirements are/ will be met prior to December 1 of the year preceding the start of the CPRP, and clinical goals for the future.
  3. Two letters of recommendation from internship faculty members or internship clinical supervisors

All civilian applicants will be required to go through the central Army selection process. Civilian applicants will work with Army Medicine recruiter in meeting application requirements.

  1. To begin the process of entering Active Duty service, candidates should contact their local Army Health Care Recruiters at www.goarmy.com or 1-800-USA-ARMY. Candidates will not enter Active Duty or incur a service obligation, unless selected for residency.
  2. Civilian applicants must also submit the following:
    1. A letter from their graduate school program Director of Training verifying the applicant's dissertation is complete upon application.
    2. A letter from their internship Program Director verifying the applicant is in good academic standing and projected internship completion date.
    3. A de-identified work sample assessment report

Current active duty applicants must also provide the following:

  1. Copy of current Officer Records Brief (ORB)
  2. Copies of all completed supervisor evaluation forms from internship
  3. Copy of the most recent Army Physical Fitness Test score card

Financial and Other Benefit Support for Upcoming Training Year

Annual Stipend/Salary for Full-time Residents $77,827
Annual Stipend/Salary for Half-time Residents n/a
Program provides access to medical insurance for intern? Yes
If access to medical insurance is provided:
 
Trainee contribution to cost required? No
Coverage of family member(s) available? Yes
Coverage of legally married partner available? Yes
Coverage of domestic partner available? Yes
Hours of Annual Paid Personal Time Off (PTO and/or Vacation) 30 days per year
Hours of Annual Paid Sick Leave n/a
In the event of medical conditions and/or family needs that require extended leave, does the program allow reasonable unpaid leave to interns/residents in excess of personal time off and sick leave? n/a
Other Benefits (please describe):
  • Sick leave may be unlimited with medical justification in accordance with DOD and Army policies
  • Tax-advantaged monthly stipend for housing and subsistence
  • Periodic length-of-service pay increases and annual pay increases
  • Eligible for travel on military aircraft
  • Opportunities for continuing professional education (to include specialty fellowships)
  • Full coverage medical and hospital benefits for you and your family, low cost $500,000 life insurance, noncontributory retirement and disability retirement pay
  • Payment of travel expenses and shipping charges for families and personal goods when moving to internship site and follow-on assignments
  • Post Exchange (department store) and commissary (grocery store) privileges with lower prices and tax savings
  • On post officers’ club, sports facilities, childcare, movie theaters, and no or low-cost recreational activities
 

Initial Post-Residency Positions

(Provide an Aggregated Tally for the Preceding 3 Cohorts)
 
2017-2019
Total # of residents who were in the 3 cohorts 17
Total # of residents who remain in training in the residency program 6
 
PD
EP
Community mental health center 0 0
Federally qualified health center 0 0
Independent primary care facility/clinic 0 0
University counseling center 0 0
Veterans Affairs medical center 0 0
Military health center 0 17
Other medical center or hospital 0 0
Psychiatric hospital 0 0
Academic university/department 0 0
Community college or other teaching setting 0 0
Independent research institution 0 0
Correctional facility 0 0
School district/system 0 0
Independent practice setting 0 0
Not currently employed 0 0
Changed to another field 0 0
Other 0 0
Unknown 0 0
Note: “PD” = Post-Doctoral Residency Position; “EP” = Employed Position. Each individual represented in this table should be counted only one time. For former trainees working in more than one setting, select the setting that represents their primary position.    
 

*Revised: June 24, 2020

*Madigan’s Clinical Psychology Residency Program is accredited by the American Psychological Association (APA). This Residency Program was last accredited by APA in 2018. Our next site visit is schedule to occur in 2028. Questions related to the program’s accredited status should be directed to the Commission on Accreditation:

Office of Program Consultation and Accreditation
American Psychological Association
750 1st Street, NE, Washington, DC 20002
Phone: (202) 336-5979 / Email: apaaccred@apa.org
Web: www.apa.org

 

Contact Us

Physical Address

Madigan Army Medical Center
Attn: MCHJ-CLU/GME Psychology
9040 Jackson Ave.
Tacoma, WA 98431

Phone Numbers and Email

Phone: (253) 968-6369
Fax: (253) 968-5665
APPIC Member Number:  9045
Residency E-mail: E-mail Us
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